Rochester Otolaryngology Group Prof Corp

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ROCHESTER OTOLARYNGOLOGY GROUP PROF CORP

Practice address

2561 Lac de Ville Blvd
Suite 100
Rochester, NY 14618-5645

Phone

(585) 244-3510

Fax

(585) 244-3519

NPI assigned

Sep 17, 2006

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter E Mulbury, M.D.NPI 1093718470

Title

President

Phone

(585) 244-3510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter E. Mulbury, MD

  • Otolaryngology Physician
  • Rochester, NY
  • NPI 1093718470
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1285731927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-244-3510",
            "fax_number": "585-244-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-244-3510",
            "fax_number": "585-244-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER OTOLARYNGOLOGY GROUP PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MULBURY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-244-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rochester Presbyterian Home

• Otolaryngology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.